Individual
ALISON WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
931 OAK PARK BLVD, SUITE 101, PISMO BEACH, CA 93449-3402
(805) 474-2600
(805) 474-2607
Mailing address
931 OAK PARK BLVD, SUITE 101, PISMO BEACH, CA 93449-3402
(805) 474-2600
(805) 474-2607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13380
CA LICENSE NUMBER
CA
Enumeration date
05/15/2007
Last updated
03/07/2023
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